HomeMy WebLinkAboutApplicationGarfield County
GRADING PERMIT
APPLICATIONmunity Development Department
r/ l n { .r;.." 108 8th Street, Suite 401MAI{ I l itiltt Glenwood springs, co 81501
, : (97O1945-82L2
' www.Rarfield-countv.com
TYPE OF GRADING
tr MAJOR MINOR
INVOLVED PARTIES
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EmailAddress:
Phone:
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Property owner: 5o
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Contractor: Phone:
EmailAddress:
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Mailing Address
PhoneArchitect:
Mailing Address:
EmailAddress:
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Engineer:
EmailAddress:
Mailing Address
Sub. Lot-
Earthwork (square feet): l{l,m[0 Earthwork (cubic Yards):
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PROJECT NAME AND LOCATION
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Describe Work:
Project Na
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ALt UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
lApnother permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Voidpermit. ABuildingpermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
NOTICE
Authoritv. This application for a Building Permit must be signed by the
an authorized agent. lf the signature below is not that of the Owner, a
I hereby certify that I have
understand that the Buildi
submitted by me or on mY
Owner ofthe property, described above, or
separate letter of authority, signed by the
readthisApplicationandthattheinformationcontainedaboveistrueandcorrect. I
ng Division accepts the Application, along with the plans and specifications and other data
behalf (submittals), based upon my certification as to accuracy. Assuming completeness of
the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to
constructthe structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of
the issuance of the Building permit, I agree that I and my agents will comply with provisions of a ny federal, state or local
law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations
(County Regulation(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of
the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon
notice from the County, ifthe location, construction or use ofthe structure(s) and facility(ies), described above, are not
in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further
acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the
correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this
Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance
of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I acknowledge that
responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized
agents, including without limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provi the required information which is correct and accurate to the best of my knowledge.
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perty Print and Sign Date
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Special Conditions:
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Fees Paid oooI Fees:ooMisc Fees:Fee:crc
Zoning:lssue Date:Grading Permit:Balance due
BUILDING / PLANNING DIVISION :
DateApprova
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